MRS. ENAS BASHA NP NPI 1104328095

NPI Information

  • NPI: 1104328095
  • Provider Name: MRS. ENAS BASHA, NP
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1412 MILSTEAD AVE NE
    CONYERS, GA
    ZIP 30012
  • Phone: (404) 605-2800

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NPI Details

MRS. Enas Basha, NP is an acute care nurse practitioner in Conyers, GA. MRS. Enas Basha, NP NPI is 1104328095. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1412 MILSTEAD AVE NE
CONYERS, GA
ZIP 30012-877
Phone: (404) 605-2800

The NPI 1104328095 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/6/2018 and was last updated on 2/19/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2100XNurse PractitionerAcute Care217282GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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